Nurse believed to have killed at least 86 patients

But prosecutors have long said they believe he killed more people, previous year putting the figure at 43 at least.

Authorities are waiting for the results of another 41 toxicology reports, the results of which could drive the number of confirmed deaths even higher, he said.

The man, now aged 40, was convicted in the northern city of Oldenburg of two charges of attempted murder and two counts of murder in 2015.

At least 84 of the convicted killer's former patients were found to have died after suffering from injections of five different forms of medication, Johan Kuehme, chief of police in Oldenburg, told reporters.

Authorities have subsequently investigated hundreds of deaths, which included exhuming bodies of former patients in the clinics where Hoegel worked in Delmenhorst and Oldenburg in northwest Germany.

If Hoegel is tried and convicted on any additional charges, it won't affect his life sentences since the German court system doesn't allow for consecutive sentence, the AP reported.

"The killings could have been prevented if the people responsible at the time - and I stress at the time - particularly at the Oldenburg clinic but also later on in Delmenhorst hadn't hesitated to alert authorities, for example the state prosecution", he said.

During his trial, Hoegel had said he intentionally brought about cardiac crises in some 90 patients in Delmenhorst because he enjoyed the feeling of being able to resuscitate them.

The daughter of a deceased woman came forward suspecting Hoegel's involvement in her mother's death, leading to an investigation which saw him admit guilt in 30 cases, naming the patients he killed.

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